Posterolateral Hip Muscle Strengthening Versus Quadriceps Strengthening for Patellofemoral Pain: A Comparative Control Trial

Khayambashi, Khalil; Fallah, Alireza; Movahedi, Ahmadreza; Bagwell, Jennifer J.; Powers, Christopher M.

doi:10.1016/j.apmr.2013.12.022

Cited by 61 publications

(106 citation statements)

References 38 publications

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“…This study is relevant with the present study for the use of posterolateral hip muscle strengthening in patello-femoral pain patients. 10 Kimberly et al studied the effect of hip strengthening prior to functional exercises. For patients with PFPS, initial hip strengthening may allow an earlier dissipation of pain than exercises focused on the quadriceps and concluded that for patients with PFPS, initial hip strengthening allows an earlier dissipation of pain than exercises focused on the quadriceps.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of posterolateral hip muscles strengthening on patellofemoral pain

Kaur

Arora

2016

Int J Res Med Sci

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Section: Discussionmentioning

confidence: 99%

Efficacy of posterolateral hip muscles strengthening on patellofemoral pain

Kaur

Arora

2016

Int J Res Med Sci

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“…www.casp-uk.net Beneficial effect of hip exercise in PFP Baldon et al, 2014Coppack et al, 2011Ferber et al, 2014Fukuda et al, 2010Fukuda et al, 2012Ismail et al,2013Nakagawa et al, 2008Dolak et al, 2011Khayambashi et al, 2012Avraham et al, 2007Boling et al, 2006Earl & Hoch 2011Ferber et al, 2011Khayambashi et al, 2014Lowry et al, 2008Mascal et al,2003Noehren et al .,2011Razheghi et al, 2010Tyler et al,2006Willy et al, 2012 No benefit of hip exercise in PFP Song et al, 2009 www.cebm.net/ocebm-levels-of-evidence…”

Section: Quality Assessmentmentioning

confidence: 99%

The outcome of hip exercise in patellofemoral pain: A systematic review

et al. 2016

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Patellofemoral pain (PFP) is one of the most common lower extremity conditions seen in clinical practice. Current evidence shows that there are hip strength deficits, delayed onset and shorter activation of gluteus medius in people with PFP. The aim of this review was to systematically review the literature to investigate the outcome of hip exercise in people with PFP.Method AMED, CINAHL, Cochrane, EMBASE, PEDro, Pubmed, Science direct and SPORTDiscus databases were searched from inception to November 2014 for RCTs, non-randomised studies and case studies. Two independent reviewers assessed each paper for inclusion and quality. ResultsTwenty one papers were identified;eighteen investigating strengthening exercise, two investigating the effect of neuromuscular exercise and one study investigated the effect of hip exercise for the prevention of PFP.Hip and knee strengthening programmes were shown to be equally effective. Limited evidence indicates that the addition of hip exercise to an exercise programme is beneficial. Limited evidence demonstrates that motor skill retraining in a participant group who displayed abnormal hip alignment in running improves pain. ConclusionThe evidence consistently demonstrated that both hip strengthening and neuromuscular exercise has a beneficial effect on pain and function in people with PFP. Strengthening exercise predominantly addressed abductor and external rotator muscle groups. 2 A consensus from PFP researchers for standardisation of methodology is recommended to enable meaningful comparison between trials.

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“…The majority of studies used a protocol in which patients performed exercises three times per week for four weeks. [3][4][5] Khayambashi et al 6 and Nakagawa et al 2 required patients to perform exercises three times per week for eight weeks and five times per week for six weeks, respectively. Side-lying hip abduction was used by all five studies in the hip strengthening protocol.…”

Section: 12mentioning

confidence: 99%

“…Side-lying hip abduction was used by all five studies in the hip strengthening protocol. [2][3][4][5][6] Three of the studies 3-5 also used a stand- ing hip abduction exercise. Some protocols chose to advance the side-lying and standing hip abduction exercises by incorporating an elastic band or ankle weight.…”

Section: 12mentioning

confidence: 99%

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Hip Strengthening Compared With Quadriceps Strengthening in Conservative Treatment of Patients With Patellofemoral Pain: A Critically Appraised Topic

Regelski

Ford

Hoch

2015

International Journal of Athletic Therapy and Training

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Clinical Scenario:Patellofemoral pain is a common injury that affects both athletic and sedentary populations. Clinicians may treat patellofemoral pain more effectively through a comprehensive understanding of the most effective exercise protocols.Clinical Question:In patients with patellofemoral pain, are hip abductor and external rotator muscle strengthening exercises more effective in reducing pain and improving patient-reported function compared with isolated quadriceps strengthening?Summary of Key Findings:A comprehensive and systematic database search was conducted for studies of level 2 evidence or higher. The search yielded 253 studies; of these studies, four randomized control trials and one comparative control trial fit the inclusion and exclusion criteria. A combination of quadriceps and hip strengthening exercises or hip strengthening exercises alone reduced pain and improved patient-reported function compared with quadriceps strengthening alone.Clinical Bottom Line:There is strong evidence to support the use of hip strengthening or hip strengthening combined with quadriceps strengthening in the treatment of patellofem-oral pain to decrease pain and improve patient reported function.Strength of Recommendation:The Strength of Recommendation Taxonomy recommends a grade of A for level 1 evidence with consistent patient-oriented findings.

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Posterolateral Hip Muscle Strengthening Versus Quadriceps Strengthening for Patellofemoral Pain: A Comparative Control Trial

Cited by 61 publications

References 38 publications

Efficacy of posterolateral hip muscles strengthening on patellofemoral pain

Efficacy of posterolateral hip muscles strengthening on patellofemoral pain

The outcome of hip exercise in patellofemoral pain: A systematic review

Hip Strengthening Compared With Quadriceps Strengthening in Conservative Treatment of Patients With Patellofemoral Pain: A Critically Appraised Topic

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